Conference/ Seminar Report
Employee Name: Supervisor Name:
Employee ID Number: Division:
Conf/Seminar Title:________________________________________________________________________
__________________________________________________________________________
Date(s):___________________________________ CEU’s Earned (if applicable):___________
Implementation at Mountwest: (What issues/ aspects of the training event could be put into practice at
Mountwest Community & Technical College?) Other comments?
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Was this conference/ seminar worth attending? Yes No
Could the information received be used to train other staff/ faculty? Yes No
If yes, then who would benefit Faculty Staff Both
Would you be willing to share or present information to other colleagues? Yes No
____________________________________ ______________________________________
Employee’s Signature
*Please submit this form along with copies of any materials (PowerPoints, website info, etc.) from the
conference/ seminar to the office of HR, Employee Development & Payroll in Suite G12. In addition, please attach
an
y certificates you received as a result of the seminar/ conference.
A State Community & Technical College of West Virginia / An Equal Opportunity/Affirmative Action Employer